Individual
DR. KERRI JANINE KENNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
26876 SUSSEX HWY, UNIT 2, SEAFORD, DE 19973
(302) 628-8740
(302) 628-8760
Mailing address
PO BOX 576, SEAFORD, DE 19973-0576
(302) 628-8740
(302) 682-8760
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
B1-0000440
DE
103TC0700X
Clinical Psychologist
Primary
B1-0000440
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000037339
—
DE
01
—
100035675
DPCI PIN
DE
Enumeration date
03/02/2007
Last updated
03/08/2017
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